HAILE M MEZGHEBE (NPI# 1558464503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558464503 |
| Entity Type | Individual |
| Full Name | HAILE M MEZGHEBE |
| Credential | MD |
| Practice Address |
516 East Nizhoni Blvd. Gallup NM 87301-1337 |
| Mailing Address |
P.o. Box 1337 Gallup NM 87305-1337 |
| Practice Telephone | 5057221000 |
| Practice Fax Number | 5057221650 |
| Mailing Telephone | 5057221000 |
| Mailing Fax Number | 5057221650 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2011-08-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
MD14740 | DC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 409481600 | 05 | |
| VA | 010020701 | 05 | |
| DC | 027491700 | 05 |
| Street Address |
516 EAST NIZHONI BLVD. |
| City | GALLUP |
| State | NM |
| Zip Code | 87301-1337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386644052 | Dorothy Whitaker | Specialist | 516 East Nizhoni Blvd., Gallup, NM 87301-1337 | 2005-07-26 |
| 1932516333 | Patricia Pate | Nurse Practitioner | 516 East Nizhoni Blvd., Gallup, NM 87301-1337 | 2014-07-17 |
| 1013273325 | Maxine Rose Horton | Nurse Practitioner | 516 East Nizhoni Blvd., Gallup, NM 87301-1337 | 2012-04-11 |
| 1710289723 | Jordan Clifford Burnett | Physical Therapist | 516 East Nizhoni Blvd., Gallup, NM 87301-1337 | 2010-11-23 |
| 1881907889 | Sheryl Bahe Livingston | Counselor | 516 East Nizhoni Blvd., Gallup, NM 87301-1337 | 2010-07-19 |
| 1366673113 | Matthew Dennis Jones | Psychologist | 516 East Nizhoni Blvd., Gallup, NM 87301 | 2009-07-28 |
| 1134361785 | Jennifer Nadine Jaggi | Obstetrics & Gynecology | 516 East Nizhoni Blvd., Gallup, NM 87301-1337 | 2009-03-28 |
| 1558515940 | David Benjamin Good II | Registered Nurse | 516 East Nizhoni Blvd., Gallup, NM 87301-1337 | 2008-11-11 |
| 1689839482 | Kadallah Zizwee Brandy | Internal Medicine | 516 East Nizhoni Blvd., Gallup, NM 87301-1337 | 2008-07-22 |
| 1013184654 | Juan Pablo Rossini | Anesthesiology | 516 East Nizhoni Blvd., Gallup, NM 87301-1337 | 2008-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966141 | Karen Marie Acuesta Arboleda | Registered Nurse | 516 E Nizhoni Bld., Gallup, NM 87301 | 2019-11-13 |
| 1811453707 | Kelly Dahn | Respiratory Therapist, Certified | 516 E Hizhoni Blvd, Gallup, NM 87301 | 2019-02-15 |
| 1417411232 | Frances Griego | Registered Nurse | 28b Alma Drive, Gallup, NM 87301 | 2019-01-25 |
| 1891267605 | Hozho Academy | Occupational Therapist | 306 Nm-564, Gallup, NM 87301 | 2018-12-19 |
| 1922514686 | Jjdac, LLC | Ambulance | 208 W Maloney Ave, Gallup, NM 87301 | 2017-12-18 |
| 1508382698 | Katherine L Kuehl | Pharmacist | Walgreens 1870 E Historic Highway 66, Galliup, NM 87301 | 2017-08-21 |
| 1497285001 | Jessica Kate Savant | Registered Nurse | 516 E Nazhoni Blvd, Gallup, NM 87301 | 2017-06-15 |
| 1770013385 | Nicole Aline Pavy | Registered Nurse | 516 E. Nizhioni Blvd, Gallup, NM 87301 | 2017-06-15 |
| 1730612276 | Camie Renee Nelson | Contractor | 121 Bishop Drive, Gallup, NM 87301 | 2017-04-11 |
| 1508216227 | Marriah Silversmith | Technician, Other | 3426 Blue Hill Ave, Gallup, NM 87301 | 2016-06-14 |
| Find all providers in zip 87301 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154736494 | Lauren Marie Van Sant | Surgery | 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2014-06-25 |
| 1932441300 | Acute Care Surgery Medical Group of New Mexico, Inc. | Surgery | 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 | 2013-03-22 |
| 1639317886 | Ming Li Wang | Surgery | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2009-01-27 |
| 1841453453 | Unm Medical Group Inc Trauma | Surgery | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2745 | 2008-07-03 |
| 1336347731 | St. Vincent Hospital | Surgery | 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 | 2007-07-06 |
| 1831218627 | Unm Medical Group Inc | Surgery | 2211 Lomas Ne, Albuquerque, NM 87106 | 2007-03-29 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.